Summer Camp Application Name * First Name Last Name Date * MM DD YYYY Preferred Email * Phone * (###) ### #### Age * Preferred Method of Contact * Phone Email Availability from June 5th-July 28th * Previous Related Job Experience? * Are You Comfortable With Teaching Mini Bible Lessons? * Yes No If "No" please explain below. Do you have any physical ailments that would keep you from doing physical exercise with the campers? * Yes No If "Yes" please explain below. Are you CPR certified? * Yes No Are you First Aid certified? * Yes No If not have you been certified before and just need to be renewed? Yes No Which age group so you prefer? * 5-8 Year Olds 9-12 Year Olds Why do you think you’re a good fit for this job? * What questions do you have for the employer? * Emergency Contact Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Relationship to you? * Type your name in the box below to sign this application and someone from our team will be in contact within 24-48 hours! Thank you for considering working at the Impact Summer Camp! Signature * Thank you for submitting your application for the Impact Summer Camp!You will receive a follow up email in 24-48 hours from our team! Thank you! CenterStage Staff
